| NPI | 1437307725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1206415) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 279881) |
| 164X00000X Licensed Vocational Nurse (Licence: TX 221915) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2025-08-06 |